Organization
EDINBURGH PLLC
Active
Other names
Expert Eyecare Edinburh
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL WAYNE ZAMORA O.D. (PARTNER)
(812) 526-7444
Entity
Organization
Contact information
Practice address
210 W MAIN CROSS ST, EDINBURGH, IN 46124-1347
(812) 526-2020
Mailing address
210 W MAIN CROSS ST, EDINBURGH, IN 46124-1347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003247A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6445870001
MEDICARE DMERC
IN
01
—
M100021583
MEDICARE PTAN
IN
Enumeration date
11/20/2006
Last updated
10/27/2010
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